4_-_Technical_Personnel_List.pdf

PDF 70 KB Posted

Attached to
CTS Services in Kalamazoo, MI
Solicitation number
RFQ-CTS-030-17
Issued by

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Technical Personnel Staff List

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NOTE: Only personnel listed on this form will be considered for the solicitation or contract.

TECHNICAL PERSONNEL LIST

Solicitation or Contract Number:

Agency/Company Name:

Address of Performance Site:

Last Name, First Name (as it appears on license)

Title / Position / Authorized Negotiator (point of contact for billing, clinical, etc.)

Professional License Type, DEA License, and Number

License Expiration Date

Employee or Subcontractor

Signature of Authorized Negotiator: Date:

Page: of

File details come from the government source that posted it. Updated .